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Patient expectations, eating disorder severity and personality features: Impact on eating pathology in psychological therapy for eating disorders

机译：患者期望，饮食失调严重程度和人格特征：对食用疾病心理治疗的影响

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Many factors have been shown to impact treatment outcome in eating disorders, including illness related variables (e.g. symptom severity), and broader clinical features (e.g. personality pathology). Less is known about the potential impact of patient related variables, such as patients' views regarding treatment suitability and success. This study explored the impact of eating disorder severity, personality features and patient expectations regarding treatment suitability and success, on eating pathology at treatment end. Participants were 128 adults with diagnosed eating disorders who completed a course of evidence-based psychological therapy in a community eating disorders service in the UK. Patients completed measures of eating disorder psychopathology and personality features at treatment commencement, and a measure of patient expectations regarding change after session six. They repeated the measure of eating disorder psychopathology at treatment end. All patients had some level of positive expectations regarding the suitability and potential success of treatment after session six. Eating disorder severity significantly predicted eating pathology at treatment end. However, strength of positive expectations regarding treatment success significantly predicted eating pathology over and above baseline level of eating disorder severity. Personality features at baseline were not significantly related to treatment outcome. Findings suggest that patients' expectations regarding the likely success of therapy have a significant impact on treatment outcome. Patients who develop a strong belief that treatment will work may be more likely to actively engage in the process of therapy to achieve their recovery goals. These findings have important implications for the early phase of therapy and how patients are oriented towards treatment.
机译：许多因素已被证明在饮食障碍中影响治疗结果，包括疾病相关变量（例如症状严重程度）和更广泛的临床特征（例如人格病理学）。关于患者相关变量的潜在影响，例如患者关于治疗适用性和成功的观点，较少。本研究探讨了饮食障碍严重程度，人格特征和患者对治疗适用性和成功的影响，在治疗结束时吃病理学。参与者是128名成年人，患有诊断的饮食障碍，他在英国的社区饮食障碍服务中完成了循证的心理治疗课程。患者在治疗开始时完成了饮食障碍精神病理学和人格特征的措施，以及关于六次会议后变革的患者期望的衡量标准。他们在治疗结束时重复了饮食障碍精神病理学的衡量标准。所有患者对六次治疗后的适用性和潜在成功均有一定程度的积极期望。进食失调严重程度显着预测治疗结束的病理学。然而，关于治疗成功的积极期望的强度显着预测饮食病理，超过饮食失调严重程度的基线水平。基线的个性特征与治疗结果没有显着相关。调查结果表明，患者对治疗的可能成功的期望对治疗结果产生了重大影响。患者培养了强烈信仰的患者，治疗将工作可能更有可能积极地从事治疗过程，以实现其恢复目标。这些发现对治疗早期的阶段以及患者朝向治疗方面具有重要意义。

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